Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,288.25 / $3,890.45	Facility		$501.19	$1,288.25	$3,890.45
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $169.82 / $199.53	Facility	26	$169.82	$169.82	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $794.33	Professional		$371.54	$467.74	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $151.36 / $234.42	Professional	26	$117.49	$151.36	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $281.84 / $389.05	Professional	TC	$234.42	$281.84	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $316.23 / $407.38	Professional		$295.12	$316.23	$407.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	26	$134.90	$134.90	$134.90
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $186.21 / $204.17	Professional	TC	$186.21	$186.21	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $1,348.96	Facility		$446.68	$758.58	$1,348.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $602.56	Professional		$416.87	$501.19	$602.56
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $173.78 / $208.93	Professional	26	$147.91	$173.78	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $331.13 / $398.11	Professional	TC	$281.84	$331.13	$398.11
Christus Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $512.86 / $512.86	Facility		$39.81	$512.86	$512.86
Christus Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $354.81 / $354.81	Professional	26	$39.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $616.60	Professional		$309.03	$467.74	$616.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $169.82 / $223.87	Professional	26	$123.03	$169.82	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $302.00 / $416.87	Professional	TC	$186.21	$302.00	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,047.13 / $2,187.76	Facility		$338.84	$1,047.13	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $645.65	Professional		$302.00	$398.11	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $154.88 / $239.88	Professional	26	$112.20	$154.88	$239.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $251.19 / $416.87	Professional	TC	$190.55	$251.19	$416.87